Which is the best preferred insole material in the business for a diabetic/fracture walker by practicing orthotists, rehab professionals and developers? The insole will be in direct contact with the plantar face of the foot.
1. Polyurethane (Poron L32)- Better sweat absorption, low resilience, elastic
2. Polyethylene (Plastozote M)- Good stress area distribution
3. EVA (Nora AL)- Stiffness, wear resistance
4. Other alternate suggestions
#orthosis
Plastazote has been proven in studies to reduce the chances of skin ulcerations in the diabetic population. In the United States, insurances typically do not cover diabetic insoles unless Plastazote is used as the top layer. In my practice, I typically use diabetic trilaminate for foot orthoses Plastazote top layer, PPT middle layer, and Cloud Crepe base layer), and Plastazote for Charcot Resistant Orthotic Walker (CROW) inserts.
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